M

Monarch

Behavioral health and substance use treatment

Licensed or Certified Substance Abuse Counselor

Full-TimeUpdated on 10/23/2026
$23
Junior
Master's
Gastonia, NC, USA
In PersonDrive and travel extensively to community locations and outreach destinations; transportation may be provided for people supported as required.
Medical, Clinical & VeterinaryMental & Behavioral Health

About the job

Requirements
  • Have experience working with adults with a mental health diagnosis and/or substance use disorder for at least one year.
  • Meet one of the following minimum qualifications: a high school diploma and Certified Alcohol & Drug Counselor (CADC), or a Master's degree and a fully licensed or associate licensed Clinical Addiction Specialist (LCAS-A/LCAS).
  • Hold a valid driver's license.
  • Maintain certification in all agency, state, and federal training requirements.
  • Demonstrate knowledge of and comply with agency policies and procedures, as well as state and federal statutes and regulations related to the program areas.
  • Follow service definition guidelines for services provided.
Responsibilities
  • Provide service coordination for individuals with mental health and substance abuse issues, and develop the overall service plan with other team members.
  • Provide education and training on mental illness, substance use disorders, relapse identification and prevention, and recovery promotion.
  • Implement evidence-based practices for individuals with co-occurring mental health and substance use disorders.
  • Implement harm reduction practices and programs addressing adverse effects of drug use, including overdose, HIV, hepatitis C, addiction, and incarceration.
  • Monitor mental health and substance use disorder symptoms that interfere with daily living, and help individuals identify and minimize symptoms and potentially harmful behaviors.
  • Complete assessments of current and historical substance use, identify appropriate treatment levels, and make referrals to other services as necessary.
  • Develop natural support networks; provide individual and group supportive counseling; monitor symptoms and medications; link individuals to appropriate community services, agencies, and supports; monitor behavior in home and community settings; teach independent community-living skills and support their practice and transfer to their environment; and support families.
  • Facilitate access to community resources, including recreational activities, housing, food, clothing, school programs, vocational opportunities, and providers of mental health, developmental disability, and substance abuse services; help individuals build relationships within their communities.
  • Monitor service utilization and ensure agency services align with each individual's authorization; prepare progress reports for the team leader to support the authorization process.
  • Maintain positive working relationships with individuals, families, team members, other staff, monitoring and licensing agencies, organizations, and funders in the communities served.
  • Drive and travel extensively to community locations, agencies, and outreach destinations, and provide or arrange transportation for people supported as required.
  • Write, implement, evaluate, and revise Person Centered Plans, treatment goals, and service plans based on professional evaluations and assessment recommendations and input from the individual supported.
  • Facilitate independent-living-skills training, access to community services and agencies, and development of community support networks; assess individual needs daily.
  • Coordinate services with program staff, inpatient and detoxification facilities, and establish linkages to residential programs, self-help programs, and community resources.
  • Review treatment progress and consult continuously with staff and community agencies to ensure consistent therapeutic management of each individual's needs.
  • Ensure immediate and appropriate interventions in response to changes in mental status that may put an individual at risk.
  • Document participant activities in accordance with the service records manual, including event notes reflecting activities, goals, interventions, and outcomes.
  • Provide psychoeducation as indicated in the Person Centered Plan.
  • Assist with crisis interventions and with the Team Leader's behavioral and substance use disorder treatment interventions.
  • Assist with development of relapse-prevention and disease-management strategies.
  • Coordinate initial and ongoing assessment activities.
  • Develop the initial Person Centered Plan and its revisions, and ensure its implementation.
  • Consult with identified medical and non-medical providers, engage community and natural supports, and include their input in person-centered planning.
  • Ensure linkage to clinically appropriate and effective services, including arranging psychological and psychiatric evaluations.
  • Monitor and document beneficiary progress and the effectiveness of strategies and interventions in the Person Centered Plan.
  • Complete functional-needs assessments to determine service scope and anticipated outcomes.
  • Provide crisis intervention and on-call or after-hours services as needed.
  • Attend and actively participate in required meetings and training.
  • Complete other relevant responsibilities assigned by the supervisor.

About the company

Monarch NC provides behavioral health services across North Carolina, addressing mental health and substance use disorders. It offers telehealth, crisis intervention, urgent care, and outpatient services to deliver personalized care. The approach combines in-person clinics, telehealth, and crisis support across multiple locations (Asheville, Charlotte, Greensboro) to coordinate care and support recovery. Its goal is to improve clients' mental health by delivering the right level of care tailored to each person and expanding access through integrated services.

Company Size

1,001-5,000

Company Stage

Series A

Total Funding

$23.9M

Headquarters

Albemarle, North Carolina

Founded

1958

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Simplify's Take

What believers are saying

  • North Carolina backed Monarch with a $32.5 million Cabarrus grant and $500,000 Nash allocation.
  • Monarch opened Pittsboro's Chatham Opportunities Center in summer 2026, broadening I/DD capacity.
  • Cabarrus expects Monarch's new behavioral health center to serve 200 youth in 2027.

What critics are saying

  • August 2022 ransomware settlement still exposes Monarch to trust and compliance damage in 2026.
  • Monarch's Concord expansion requires staffing about 150 jobs before mid-2026 opening.
  • North Carolina funding dependence ties Nash County and Cabarrus growth to state appropriations.

What makes Monarch unique

  • Monarch's June 2026 Concord center bundles urgent care, crisis, and residential youth services.
  • Monarch's mobile clinics reach six northeastern counties with on-site and telehealth treatment.
  • Monarch's I/DD and substance-use curriculum uniquely targets underserved patients with developmental disabilities.

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Benefits

  • Health Insurance
  • Paid Vacation
  • Professional Development Budget

Growth & Insights and Company News

6 month growth

14%

1 year growth

15%

2 year growth

15%
The Financial Technology Report
Jun 6th, 2025
Monarch Raises $75M, Valued at $850M

Monarch, a personal finance app, raised $75M in a Series B round, valuing the company at $850M. The funding was co-led by FPV Ventures and Forerunner Ventures, with support from Accel, SignalFire, Clocktower Ventures, and Menlo Ventures. Following Intuit's announcement to shut down Mint, Monarch saw a surge in users. The company plans to expand its platform and team, hiring in engineering and marketing across North America.

Businessuite Media Group International
May 23rd, 2025
Fontana Reports $835.9M Gross Profit Growth

Fontana Limited reported a Q3 2025 gross profit of $835.9 million, a 15.2% increase from the previous year, driven by a 15.3% rise in revenue to $2.2 billion. The Monarch acquisition led to a 13.3% increase in operating expenses, mainly due to staffing costs. Operating profit grew 25% to $148.1 million. Finance costs rose 38.4% to $63 million due to foreign exchange losses and loan interest. Net profit increased by 10.6% to $102.8 million, with earnings per share rising to $0.08.

CNBC
May 23rd, 2025
Monarch raises $75M amid fintech downturn

Monarch, a personal finance app, raised $75 million in a Series B round, valuing the company at $850 million. This funding comes amid a challenging period for consumer fintechs. Monarch's growth surged after Mint's closure, as it offers a paid, ad-free service. The round, led by FPV, highlights Monarch's innovative approach to financial planning. Despite a 38% decline in fintech funding, Monarch's success stands out in the current "nuclear winter" for fintech startups.

PR Newswire
Oct 11th, 2023
Monarch Breaks Ground With Free, Online Curriculum For Those With Intellectual Or Developmental Disabilities Struggling With Addiction

ALBEMARLE, N.C., Oct. 11, 2023 /PRNewswire/ -- Monarch has launched "Understanding Addiction and Developmental Disabilities," a first-of-its-kind web-based resource to help an underserved population of people living with intellectual or developmental disabilities (I/DD) and substance use disorders (SUD)."Substance use is often overlooked and people with I/DD are less likely to seek help." - Peggy Terhune, Ph.D. Tweet this Understanding Addiction and Developmental Disabilities, a curriculum developed by Monarch to assist professionals and caregivers in helping those with Intellectual and/or developmental disabilities and substance use disorders, features our hero Eddie learning about the health risks that come from mixing medicines and alcohol, and the importance of taking only the medicines and dosages prescribed by his doctor.The " Understanding Addiction and Developmental Disabilities '' website features screening tools and helpful guides for those who work with individuals with I/DD, such as mental health clinicians and caregivers, guardians or parents and teachers. The free, open-source curriculum consists of 14 animated videos that provide relevant therapeutic information for the person with I/DD and SUD. To learn more, visit understanding.monarchnc.org .Those interested in learning more can attend the "Understanding Addiction and Developmental Disabilities" webinar, a free training for professionals, family members and other caregivers, Friday, Nov. 17, 2023 11 a.m

Roanoke-Chowan News-Herald
Feb 24th, 2023
Monarch’s Mobile Integrated Care Clinic services begin in Bertie and Hertford counties

Monarch, in partnership with Trillium Health Resources, has launched its second Mobile Integrated Care Clinic offering mental health and substance use disorder services to communities within Bertie and Hertford counties.